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PLC08-2038Issue Date: 8/2/2006 Owner's Name: SAMUEL MICHELS Permit Type: Plumbing - Commercial Work Classification: Gas Job Address: 1070 92 Street NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/29/2007 Contractor(s) Phone TECO PEOPLES GAS SYSTEM (305)957 -3857 Primary Contractor Yes Comments: PUBLIC WORKS PERMIT: PROP 2" PL MAIN EXTENTION ON NE92ND STREET FOR 2 CUSTOMERS 1070 & 1090 NE 92 STREET Type of Work: Additional Info: Type of Piping: Classification: Commercial In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PLC -8 -06 -2038 Phone: 1132050130040 Lot: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Press Test ROW Final Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - New Construction $160.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $173.80 Invoice Number PLC - 8 - 06 - 25750 Total: Amt Due $173.80 CK z5 AUG 21 PAID Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . t or- 01. \1, V7)' ■ FEB 0 1 2001 4 . 4 : C 4 r Comments ii Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -23675 Permit Number: PLC -8 -06 -2038 Inspection Date: 01/31/2007 Inspector: Levrack, James Owner: MICHELS, SAMUEL Job Address: 1070 92 Street NE Project: <NONE> Tuesday, January 30, 2007 Miami Shores Village, FL 33138- Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Gas Phone Number Parcel Number 1132050130040 Lot: Phone: (305)957 -3857 Page 1 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PLC -8 -06 -2038 Invoice Number: PLC -8 -06 -25750 Applicant: SAMUEL MICHELS Company Name: Owner Address: 1070 NE 92 ST MIAMI SHORES, FL 33138 Job Address: 1070 92 Street NE Miami Shores Village, FL 33138- Date Monday, August 21, 2006 08/21/2006 Check Payment Type Check Number 5025 Amount $173.80 Change $0.00 Total Paymert: $173.80 Page 1 of 1 i Public Works Permit Application FBC 2004 Penn* Type: Public Works WATER Owners Name (Fee Simple Titleholder) / ,Z e' a..5 � 5-- Prone s: __Ci 4 i? 7c Owners Address ' /6:7,7o /, . o ,7 / ,U� (jam City .�/ .C.� N / ' State cZ- Zip 3 / �i / Tenant/Lessee Name Phone t Job Address (where the work is being done) City Miami Shores Vilage County Miami Dade Zip Is Building Historicaly Designated: Contractors Company Name — • (L / �i `irk T Phone # 9!/ 4 270 / .( ! Z Contractors Address 2L52,22_ r�"19 / C State Zip Architect/Engineer's Name (if applicable) Phone S: S Value of Work For this Permit Type of Work: Describe Worts: Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Public Works Department 10050 N.E. 2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 09. lb Permit No YES NO Fees "'..""""""'"' /t® CCF Permit Fee $ PLC, 06 Lineal Footage Of Work ❑ Addition Alteration ❑ New ❑ Repair/Rep ❑ Deolition et1 e.scru5101 ok 9Z" STe m Training/Education Fee $ Tedmology Fee $ Radon $ Zoning Bond $ Structural Plan Review $ Bondincjny's Name (if applicable) Bonding company's Address 1 . N/A City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC .... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to this issuance of a Public Works permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochu►e will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job sde for the rust inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 by day of , 20__, by who is personally known to me or who has produced Who is personally know to me or has produced as identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: 11/17/2005 Owner or Agent Contractor f p. Zip ZiP Public Works Director or his designee. • BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4 24i6/. c Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Sim itteholder) � '7 qa sr� a ' -vp /Crs Gc Phone # $05 9 70 — /7' U vv /i ,u Owner's Address )!; .?ice i- City A • �i b,tir State T Zip 33 / 6/ Tenant/Lessee Name Phone # Job Address (where the work is being done) lQ be IOW City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES — NO Contractor's Company Name `T'eCe) ��' ' Getg Contractor's Address I C 7 71 VU , 0 »c f -E 4-11 City /V. Ms vSizAer I \ State �' L Zip 17/ 6/ Qualifier Name __ ' p VS V eG/ ad K Phone # State Certificate or Registration No. CrY\ (q/-dp Certificate of Competency No. CSv1 fr4_Q{ a o Perini ik'$5 • Describe Work: Architect/Engineer's Name (if applicable) Phone # D71 Master Permit No. Phone # 3 6S -- c 7 h 17 c 1) Square / Linear Footage Of Work: je of Work: ['Addition rAlteration ['New ❑ Repair/Replace 2" 74- '1 a i 62cze.vs J ' ) 0A) AZ -7(. /0 ?0 a /o5r� "l e=7 92' T Permit No. RL ********* * * * * * * * * * * * * * * * * * * * * * *F ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 1 0 '�— CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side –> ❑ Demolition 9ZA'° ,GAT AUG 2 1 PAID Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) • • Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature , f Owner or Agent The foregoing instrument was acknowledged before me this day of who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Com fission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) 20 _, by Contractor The foregoing instrument was acknowledged before me this day of 0 20 Ok, by who is personally known to me or who has produced as identification and who did take an oath. Signature NOTARY PUBLIC: kA\ ' Sign: Print: My Commi . ion Expires: 1/ ������,,,,,,� LUIS MONTERO `�!" — Notary Public - Sala d Florid. • Ay Commission Expos Feb 2, 2010 • Commission # OD 513650 Bonded By National Notary Assn. v **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning TIE IN TO EXISTING GAS MAIN • • •••••• • • •••••• •• 000 ••••. • . ••• .• , • ••••. •• • 000 NOTES CONSTRUCT ION 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCTION. SUNSHINE # 1- 800 - 432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTI ❑N TO FOLLOW JURISDICTIONAL GOVERNMENT AND TPG STANDARDS. PER COFTL 4. NO FM 5. NO WM, AIR PROFILES. 6. NO DRAINAGE. NO APPLICATIONS SUBMITTED FOR: 6. DEWATERING ( ABOVE W TABLE). 7. TRAFFIC STRIPS OR LOOPS. EXISTING GAS MAIN • •• • • • • •••• •••• •••• • • • •• • • • • • •• •••• • • • •• • • • • •• • • •• • • • •••• • •• • •••• •••• • • • 1•• ••••.. • •••••• • •• • • • • • •• • •. ! :PROPOSED 3/4• PLASTIC GAS S VICE 11D7ONC 92ND pw44ET LOT LOT 1 BLOCK BLOCK • •• • • • • • W I zI X15' I I 4 00 + 00 LOT 1 BLOCK Q C I T C o &I SO SV9 - SV9 - SVO - SV9 - SV9 - - svD - sv° - SV9 - svD PROPOSED 2 PL G 00 +01 NE 92ND STREET LINE 3' MAX SIDE WALK LOT2 BOCK @ GAS MAIN 6" T❑RATI ❑N DETAIL © �IId AUG o z 200 00 + 02 SANITARY SEWER LOT 3 ��yy BLOCK Q - - - - - -- NE 92ND STREET 00 + 03 LEGEND R/W RIGHT OF WAY P/L PROPERTY LINE SIDE WALK LOT4 BLOCK Q v CO PROPOSED METER T/T TAPPING TEE EFV EXCESS FLOW VALVE SVC SERVICE LINE SP STEEL PLASTIC C OAT PE POLYETHELENE 00 + 04 WALK $V9 av9 SV9 SM9 SVO -- - NE 92ND STREET PROPOSED METER - 00 + 05 PEOPLES 0A8 \r • PROPOSED END TO 2 PLASTIC GAS MIAIN ( 0 :PROPOSED 3/4 PLASTIC G4S SERVICE 1 NE 92ND STRIET • • • . .•.••• •• •• • • •••••• •••• • •••• • • k •• • • • • •••• •••• • • •••• • • • •• • • •• • ••••• • •••• • ••••■ • • •. GG #•d6• ' • • • • • ••• ••••, • •••• I'C .co / t'l .C31'? ; S CIS • N. MIAMI am, '1 & ! E( Si`-_'1 3GaA3 t 1' :50 S' II ' II S <f; • •••• • •••• •••• ••• • ••• • ••■ • ••• •• 1070 NE 92ND STREET MIAMI SHORES, FL PROPOSED 2m P.E. GAS LINES 3/4' SERVICE • • • • • • • • •• .• • • • ••• • • • •••